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  • PHILLIPS, VIRGINIA vs DJS ROOT SCOOTER INC et al AUTO NEGLIGENCE document preview
  • PHILLIPS, VIRGINIA vs DJS ROOT SCOOTER INC et al AUTO NEGLIGENCE document preview
  • PHILLIPS, VIRGINIA vs DJS ROOT SCOOTER INC et al AUTO NEGLIGENCE document preview
  • PHILLIPS, VIRGINIA vs DJS ROOT SCOOTER INC et al AUTO NEGLIGENCE document preview
  • PHILLIPS, VIRGINIA vs DJS ROOT SCOOTER INC et al AUTO NEGLIGENCE document preview
  • PHILLIPS, VIRGINIA vs DJS ROOT SCOOTER INC et al AUTO NEGLIGENCE document preview
  • PHILLIPS, VIRGINIA vs DJS ROOT SCOOTER INC et al AUTO NEGLIGENCE document preview
  • PHILLIPS, VIRGINIA vs DJS ROOT SCOOTER INC et al AUTO NEGLIGENCE document preview
						
                                

Preview

Filing # 135095199 E-Filed 09/22/2021 01:52:06 PM IN THE CIRCUIT COURT OF THE FIFTH JUDICIAL CIRCUIT IN AND FOR MARION COUNTY, FLORIDA CIVIL DIVISION VIRGINIA PHILLIPS, Plaintiff, CASE NO: 2019-CA-0142 Vv. DONALD LAMBERT AND, DJ’S ROOT SCOOTER, INC. A Florida Corporation, Defendants. / NOTICE OF PRODUCTION FROM NON-PARTIES YOU ARE NOTIFIED that after ten (10) days from the date of service of this Notice, the undersigned will issue the attached Subpoenas Duces Tecum directed to the following parties who are not a party to this action: Insurance/Financing: Agency for Health Care Administration Update & 2727 Mahan Drive, MS#4 Pay-Out Log Tallahassee, FL 32308 CMS, Medicare Atlanta Regional Office Update & Atlanta Federal Center, 4"" Floor Pay-Out Log 61 Forsyth Street, SW, Ste. 4T20 Atlanta, GA 30303-8909 Care Plus Health Plans, Inc. (CPHP) New, All Records PO Box 14697 Lexington, KY 40512 CarePlus Health Plans, Inc. New, All Records c/o Corporation Service Company, Registered Agent 1201 Hays Street Tallahassee, FL 32301-2525 Care Plus Health Plans, Inc. (CPHP) New, All Records c/o Chief Financial Officer, Registered Agent 200 East Gaines Street Tallahassee, FL 32399 Electronically Filed Marion Case # 19CA000142AX 09/22/2021 01:52:06 PM (00297436-1 First Acceptance Insurance Company Update & c/o Chief Financial Officer, Registered Agent Pay-Out Log 200 East Gaines Street Tallahassee, FL 32399 Treatment Providers: Advanced Imaging Centers Ocala — East Campus Updated Billing 2300 SE 17" St, Suite 800 Ocala, FL 34471 Advanced Imaging Centers - West Campus Updated Billing 8150 SW. State Road 200 Ocala, FL 34481 Advanced Interventional Pain Clinic New, All Records 451 South Milwee Street Longwood, FL 32807 Advanced Physical Therapy of Central Florida, Inc Updated Billing c/o Cara Hammond, CEO, Registered Agent 1202 SW 17" Street, #201-229 Ocala, FL 34471 Advent Health Ocala Updated Billing fka Munroe Regional Medical Center 1500 SW 1* Avenue Ocala, FL 34471 Advent Health Ocala Updated Billing fka Munroe Regional Medical Center 221 SW 11" Street Ocala, FL 34371 Dana Allen M. New, All Records & 1490 SE Magnolia Ext. Individual Billing Ocala, FL 34471 Anidjar, Simi, M.D., Individually New, All Records & c/o Advanced Imaging Centers — East Campus Individual Billing 2300 SE 17" Street Ocala, FL 34471 Associated Comprehensive Eye Care, P.A., Updated Billing c/o David A. Young, CPA, Registered Agent 1243 S.E. 22" Avenue Ocala, FL 34471 (00297436-1 Associates for Evaluation & Therapy of Central Florida, P.A. New, All Records 1515 E. Silver Springs Blvd., Ste. 112 Ocala, FL 34470 Atkinson, Maria, M.D. New, All Records & 1328 SE 25™ Loop, Ste. 102 Individual Billing Ocala, FL 34471 Bethel Blood & Cancer Center Updated Billing c/o David L. Schick, Registered Agent 200 S. Orange Avenue Orlando, FL 32801 Bohsali, Kareem New, All Records & PO Box 6200 Individual Billing Ocala, FL 34478 Bohsali, Kareem, Individually New, All Records & c/o Timerridge Imaging Center Individual Billing 9521 SW Highway 200 Ocala, FL 34481 Bovell, Don, M.D. New, All Records & 6600 SW Highway 200, Ste. 119 Individual Billing Ocala, FL 34476 Bovell, Don, M.D. New, All Records & 628 Cagan View Rd., Ste. 3 Individual Billing Clermont, FL 34714 Cain, John M., M.D. New, All Records & 1490 SE Magnolia Ext Individual Billing Ocala, FL 34471 Center for Palliative Care, LLC New, All Records 3231 SW 34" Avenue Ocala, FL 34474 Central Florida Pain Management All Records 1731 SW 2™ Avenue Ocala, FL 34471 Comprehensive Pain Management Services New, All Records 2685 SW 32™ Place, Suite 500 Ocala, FL 34471 (00297436-1 Countryside Medical New, All Records 7860 SW 103" Street Road, Ste. 101 Ocala, FL 34476 Dhaon, Nicole, DO New, All Records & PO Box 844911 Individual Billing Los Angeles, CA 90084 Dhaon, Nicole, DO New, All Records & 3210 SW 33" Road, Ste. 102 Individual Billing Ocala, FL 34474 Dhaon, Nicole, DO New, All Records & 1541 SW 1° Avenue, Ste. 105 Individual Billing Ocala, FL 34471 Djo, LLC New, All Records PO Box 515471 Los Angeles, CA 90051-6771 Djo, LLC New, All Records c/o NRAI Services, Inc. 1200 South Pine Island Road Plantation, FL 33324 DOCS of Ocala Updated Billing c/o Larry Williams, Registered Agent 400 12" Avenue North, Suite 400 St. Petersburg, FL 33701 DOCS of Ocala, Inc. Updated Billing 1030 SE 17" Street Ocala, FL 34471 Dolphin Emergency Physicians Updated Billing c/o Corporation Service Company 1201 Hayes Street Tallahassee, FL 32301 Dolphin Emergency Physicians, LLC Updated Billing 7700 W. Sunrise Blvd. Plantation, FL 33322 DST Pharmacy Solutions, Inc. New, All Records Dept. 0756 PO Box 419019 Kansas City, MO 64141 (00297436-1 DST Pharmacy Solutions, Inc. New, All Records c/o Corporation Service Company, Registered Agent 1201 Hays Street Tallahassee, FL 32301-2525 Dunnellon Chiropractic Updated Billing c/o Chery] Stanley, Registered Agent 20079 E. Pennsylvania Avenue Dunnellon, FL 34432 Florida Pain Clinic New, All Records aka Pain Treatment Center aka Paintreatment Center 2300 S. Pine Avenue, Suite B Ocala, FL 34471 Florida Pain & Rehabilitation Center Updated Billing c/o Corporation Service Company 1201 Hayes Street Tallahassee, FL 32301 Florida Pain & Rehab Updated Billing 1910 SW 18" Court, Ste. 200 Ocala, FL 34471 Freeman, Jacob L., M.D., individually New, All Records & c/o Ocala Neurosurgical Center Individual Billing 1901 SE 18" Avenue, #101 Ocala, FL 34471 Guyett, Heather M., CRN New, All Records & PO Box 645305 Individual Billing Cincinnati, OH 45264 Guyett, Heather M., CRN, individually New, All Records & c/o Munroe Regional Medical Center Individual Billing 1500 SW 1* Avenue Ocala, FL 34371 Hacker, Lorie Lee New, All Records & 3231 SW 34" Avenue Individual Billing Ocala, FL 34474-8489 Harmony House Psychiatric New, All Records 5762 SW 60" Avenue Ocala, FL 34474 (00297436-1 Henderson, Dr. Daniel, Ph.D. New, All Records Associates for Evaluation & Therapy of Central Florida, P.A. 1515 E. Silver Springs Blvd., Ste. 112 PO Box 2854 Ocala, FL 34478-2854 Henderson, Dr. Daniel, Ph.D. New, All Records & PO Box 2854 Individual Billing Ocala, FL 34478-2854 Hou, Nan Nan, PA-C, individually New, All Records & c/o Radiology Associates of Ocala, LLC Individual Billing 1901 SE 18" Avenue, Ste. 101 Ocala, FL 34471 Lee, Kenneth, D.O. New, All Records & 7860 SW 103" Street Road, Ste. 101 Individual Billing Ocala, FL 34476 Lee, Kenneth Baruch D.O. New, All Records & 216 NE 1 Avenue Individual Billing Ocala, FL 34470 Magellan Health, Inc. New, All Records 4800 N. Scottsdale Road, Ste. 4400 Scottsdale, AZ 85251 Magellan Health, Inc. New, All Records c/o Corporation Service Company, Registered Agent 1201 Hays Street Tallahassee, FL 32301-2525 Magnolia Family Urgent Care New, All Records 1490 SE Magnolia Avenue Ocala, FL 34471 Marion Pain Management Center Updated Billing c/o Corporation Service Company 1201 Hayes Street Tallahassee, FL 32301 Neurological Associates All Records 2685 SW 32™ Place, Suite 100 Ocala, FL 34471 Marion County Fire Rescue Update All Records 2631 SE Third Street Ocala, FL 34471 (00297436-1 McPherson, Anthony, M.D. New, All Records & 10250 SE 167" Place Road, Suite 5-1 Individual Billing Summerfield, FL 34491 MedOne Urgent Care New, All Records 6160 SW Highway 200, Ste. 119 Ocala, FL 34476 Mitta, Walter R., M.D. Update All Records 9401 SW Highway 200, Bldg. 700, Ste. 701 Ocala, FL 34481 Mohan, Thomas R., ARNP New, All Records & 2685 SW 32" Place, Ste. 400 Individual Billing Ocala, FL 34471 Moulette, Irina New, All Records & PO Box 743170 Individual Billing Atlanta, GA 30374 Moulette, Irina, individually New, All Records & c/o Munroe Regional Medical Center Individual Billing 1500 SW 1* Avenue Ocala, FL 34371 Munroe Regional Medical Center Updated Billing nka Advent Health Ocala 1500 SW 1* Avenue Ocala, FL 34371 Munroe Pathology Group New, All Records PO Box 743170 Atlanta, GA 30374 Munroe Pathology Group New, All Records c/o Munroe Regional Medical Center 1500 SW 1* Avenue Ocala, FL 34371 Ocala Health Surgical Group, LLC Updated Billing & dba Ocala Neurological Center Medical c/o CT Corporation System, Registered Agent 1200 South Pine Island Road Plantation, FL 33324 Ocala Neurological Center Updated Billing & c/o CT Corporation System, Registered Agent Medical 1200 South Pine Island Road Plantation, FL 33324 (00297436-1 Ocala Neurosurgical Center Updated Billing & 1901 SE 18" Avenue, #101 Medical Ocala, FL 34471 Ocala Regional Medical Center Updated Billing & 1431 SW 1 Avenue Medical Ocala, FL 34471 Orthofix, Inc. New, All Records 3451 Plano Parkway Lewisville, TX 75056 Orthofix, Inc. c/o Corporation Service Company 1201 Hayes Street Tallahassee, FL 3230-2525 Orthopedic Specialty Care in Ocala New, All Records 2685 SW 21nd Place, Ste. 400 Ocala, FL 34471 Miller, Stephen, M.D., individually New, All Records & c/o Suncoast Podiatry Associates Individual Billing 3301 SW 34” Circle Ocala, FL 34474 Pain Treatment Center New, All Records aka Paintreatment Center aka Florida Pain Clinic 2300 S. Pine Avenue Ocala, FL 34471 Dr. Daniel A. Patterson, MD New, All Records 3256 S. Pine Avenue Ocala, FL 34471 Porciuncula, Mary B., M.D. New, All Records & PO Box 974984 Individual Billing Dallas, TX 75397 Porciuncula, Mary B., M.D., individually New, All Records & c/o Munroe Regional Medical Center Individual Billing 1500 SW 1* Avenue Ocala, FL 34471 Pyles, Stephen, M.D., individually New, All Records & c/o Pain Treatment Centers of Florida Individual Billing 2300 S. Pine Avenue, Suite B (00297436-1 Ocala, FL 34471 Pyles, Stephen, M.D. New, All Records & PO Box 2200 Individual Billing Ocala, FL 34478 Individual Billing Quad County Treatment Center New, All Records 216 NE 1* Avenue Ocala, FL 34470 Quad County Treatment Center New, All Records c/o Randall B. Greene, Registered Agent 601 S. Semoran Blvd. Orlando, FL 32807 Radiology Associates of Ocala, LLC New, All Records 1901 SE 18" Avenue Ocala, FL 34471 Radiology Associates of Ocala, LLC New, All Records 31 SW 12" Street Ocala, FL 34474 Radiology Associates of Ocala, LLC New, All Records 1490 SE Magnolia Ave. Ocala, FL 34471 Radiology Associates of Ocala, LLC New, All Records PO Box 6200 Ocala, FL 34478-6200 Radiology Associates of Ocala, LLC New, All Records c/o Alan S. Gassman, Registered Agent 1245 Court Street, Ste. 102 Clearwater, FL 33756 Radiology Imaging Associates of Ocala, LLC All Records 1818 SW 15" Avenue Ocala, FL 34471 Radiology Imaging Associates, LLC All Records 1431 SW 1 Avenue Ocala, FL 34471 Radiology Imaging Associates, LLC All Records 4600 SW 46" Court Ocala, FL 34474 Radiology Imaging Associates, LLC All Records (00297436-1 c/o Al Falco, Registered Agent 1673 Mason Avenue, Ste. 305 Daytona Beach, FL 32117 Reddy, Vishnu, M.D. New, All Records & 3256 S. Pine Avenue Individual Billing Ocala, FL 34471 7 Hill Gastroenterology, P.A. New, All Records c/o Dr. Vishnu Reddy, M.D., Registered Agent 3256 S. Pine Avenue Ocala, FL 34471 Riley, Poorti K., M.D. New, All Records & 4600 SW 46" Court, Suite 150 Individual Billing Ocala, FL 34474 Robertson, Daniel, M.D. All Records & 1901 SE 18" Avenue, Ste. 101 Individual Billing Ocala, FL 34471 Rodriguez, Cynthia, individually New, All Records & c/o Ocala Regional Medical Center Individual Billing 1431 SW 1* Avenue Ocala, FL 34471 Rubin, Jay, M.D. New, All Records & 2685 SW 32” Place, Suite 100 Individual Billing Ocala, FL 34471 Rubin, Jay, M.D., individually New, All Records & Neurological Associates Individual Billing 2685 SW 32™ Place, Suite 100 Ocala, FL 34471 Rubin, Jay, M.D., individually New, All Records & Comprehensive Pain Management Services Individual Billing 2685 SW 32™ Place, Suite 500 Ocala, FL 34471 Salazar, Peter, M.D. New, All Records & 8150 SW ST RD 200 Individual Billing Ocala, FL 34471 Shetty, Mangala, M.D. New, All Records & 1737 SE 28" Loop, Ste. A Individual Billing Ocala, FL 34471 Shetty, Mangala, M.D. New, All Records & (00297436-1 10 PO Box 11147 Individual Billing Belfast, ME 04915 Southeastern Pain Management Services New, All Records 3309 SW 34" Circle Ocala, FL 34474 Stanley, Lauri, D.C. New, All Records & Dunnellon Chiropractic Individual Billing c/o Cheryl Stanley, Registered Agent 20079 E. Pennsylvania Avenue Dunnellon, FL 34432 Stantchey, Stanimire P., M.D. New, All Records & PO Box 4590 Individual Billing Ocala, FL 32159 Stantchey, Stanimire P., M.D., individually New, All Records & c/o Radiology Imaging Associates Individual Billing 4600 SW 46" Court Ocala, FL 34474 Stantchey, Stanimire P., M.D. New, All Records & c/o Marion Community Hospital Individual Billing 4600 SW 46" Court Ocala, FL 34474 Stevens, Rachel New, All Records & PO Box 7477 Individual Billing Philadelphia, PA 19101 Suncoast Podiatry Associates New, All Records c/o Stephen Miller RDPM, Registered Agent 3301 SW 34" Circle Ocala, FL 34474 Tan, Manuel Nelson, M.D., individually New, All Records & c/o Southeastern Pain Management Services Individual Billing 3309 SW 34" Circle Ocala, FL 34474 Timbe Ridge Hospital — Billing Records Custodian New, All Records aka Advent Health Timber-Ridge ER aka Munroe Regional Medical Center - Timber Ridge Facility 9521 State Road 200 Ocala, FL 34481 (00297436-1 11 Timbe Ridge Hospital — Medical Records Custodian New, All Records aka Advent Health Timber-Ridge ER aka Munroe Regional Medical Center - Timber Ridge Facility 9521 State Road 200 Ocala, FL 34481 Timbe Ridge Hospital — Radiology Records Custodian New, All Records aka Advent Health Timber-Ridge ER aka Munroe Regional Medical Center - Timber Ridge Facility 9521 State Road 200 Ocala, FL 34481 Timber Ridge Imaging Center New, All Records aka Timberridge Imaging Center 9521 State Road 200 Ocala, FL 34481 Timber Ridge Medical Center New, All Records 9401 SW Highway 200 Ocala, FL 34481 Timken, Mark J., M.D., R.P.V.I. New, All Records, 200 N. Orlando Avenue Individual Billing Winter Park, FL 32789 West Marion Community Hospital Updated Billing aka Ocala Health aka West Marion Hospital aka Ocala Regional Medical Center 4600 SW 46" Court Ocala, FL 34474 Weston-Brown, Khaliliah, M.D. New, All Records, 5365 W. Atlantic Avenue, Suite 504 Individual Billing Delray Beach, FL 32789 Weston-Brown, Khaliliah, M.D., individually New, All Records, c/o Central Florida Pain Management Individual Billing 1731 SW 2™ Avenue Ocala, FL 34471 Varela-Batista, Lourdes L., M.D., individually New, All Records, c/o Advanced Interventional Pain Clinic Individual Billing 451 South Milwee Street Longwood, FL 32807 Jaimamgal, Vidya New, All Records, PO Box 8790 Individual Billing Philadelphia, PA 19101-8790 (00297436-1 12 Warycha, Dr. Bohdan J., M.D. New, All Records, 1910 SW 18" Court, Ste. 200 Individual Billing Ocala, FL 34471 Waters, Amanda K., RN New, All Records, PO Box 848558 Individual Billing Boston, MA 02284 Waters, Amanda K., RN New, All Records, c/o Southeastern Pain Management Services Individual Billing 3309 SW 34" Circle Ocala, FL 34474 Wiley, Brandy M., PA-C New, All Records, PO Box 7477 Individual Billing Philadelphia, PA 19101 Wiley, Brandy M., PA-C, individually New, All Records, c/o MedOne Urgent Care Individual Billing 6160 SW Hwy 200, Ste 119 Ocala, FL 34476 Wiley, Brandy M., PA-C New, All Records, 4343 W. Newberry Road, Suite 3 Individual Billing Gainesville, FL 32607 Zhou, Yili, M.D. New, All Records, 1910 SW 18" Court, Ste. 200 Individual Billing Ocala, FL 34471 (00297436-1 13 CERTIFICATE OF SERVICE I HEREBY CERTIFY that a true and correct copy of the foregoing has been e-served through the Florida Courts E-filing Portal to: Scott J. Liotta, Esquire, Dan Newlin & Partners, 7335 W. Sand Lake Road, Suite 300, Orlando, Fl 32819 at liotta.pleadings@newlinlaw.com this 2204 day of September 2021. /s/ Garrett M. Brown Garrett M. Brown, Esquire Florida Bar No.: 105765 gbrown@rywantalvarez.com Gregory D. Jones, Esquire Florida Bar No.: 372285 gjones@rywantalvarez.con Rywant, Alvarez, Jones, Russo & Guyton, P.A. 302 Knights Run Avenue, Suite 1000 Tampa, Florida 33602 (Tel) 813-229-7007 / (Fax) 813-223-6544 service(@rywantalvarez.com Attorneys for Defendant (00297436-1 14 IN THE CIRCUIT COURT OF THE FIFTH JUDICIAL CIRCUIT IN AND FOR MARION COUNTY, FLORIDA CIVIL DIVISION VIRGINIA PHILLIPS, Plaintiff, CASE NO: 2019-CA-0142 Vv. DONALD LAMBERT AND, DJ’S ROOT SCOOTER, INC., a Florida Corporation, Defendants. / SUBPOENA DUCES TECUM WITHOUT DEPOSITION THE STATE OF FLORIDA: TO: Agency for Health Care Administration Attn: Records Custodian 2727 Maham Drive, MS#4 Tallahassee, FL 32308 YOU ARE COMMANDED to appear at the offices of Rywant, Alvarez, Jones, Russo & Guyton, P.A., within 15 days of receipt of this subpoena and to have with you at that time and place the following: YOUR ENTIRE FILE, INCLUDING, BUT NOT LIMITED TO, A COMPLETE MEDICAL PAY-OUT LOG, THE PROVIDER PAID, TO WHAT DATE OF SERVICE THE CHARGE PERTAINS WAS PAID, THE AMOUNT PAID; ALL HEALTH CLAIM FORMS, BILLS OR INVOICES SUBMITTED BY THE INSURED OR ANY PHYSICIAN OR EMPLOYER; ANY EXPLANATIONS OF BENEFITS, ALL EXPLANATIONS OF REVIEW, ALL DENIALS AND EXPLANATION FOR DENIALS, FOR THE PERIOD OF TIME, ALL TIME TO PRESENT, AS THEY PERTAIN TO PATIENT/PLAINTIFF: VIRGINIA PHILLIPS, AKA VIRGINIA POPYK, DOB 07/29/1961, SSN XXX-XX-8076. These items will be inspected and may be copied at that time. You will not be required to surrender the original items. You may comply with this subpoena by providing legible copies of the items to be produced to the attorney whose name appears on this subpoena on or before the scheduled date of production. You may condition the preparation of the copies upon the payment in advance of the reasonable cost of preparation. To the extent the total costs for the requested records and/or other compensable costs to respond to this Subpoena will exceed the sum of $100.00, please provide a written estimate of the costs to the undersigned attorney before providing the records and before you incur any costs you contend are compensable. You may mail or deliver the copies to the attorney(s) whose name appears on this subpoena and thereby eliminate your appearance at the time and place specified above. You have the right to object to the production pursuant to this subpoena at any time before production by giving written notice to the attorney whose name appears on this subpoena. This will not be a deposition. No testimony will be taken. (00298075-1 If you fail to: (1) appear as specified; or (2) furnish the records instead of appearing as provided above; or (3) object to this subpoena, you may be in contempt of Court. You are subpoenaed by the attorneys whose names appear on this subpoena and unless excused from this subpoena by the attorneys or the Court, you shall respond to this subpoena as directed. HIPAA - Certificate of Non-Objection, Certificate of Compliance & Certificate of Assurance The undersigned attorney hereby certifies that a good faith attempt has been made to provide written notice to the above-named patient (and/or that patient’s attorney) of the intent to obtain the patient’s medical record and/or other Protected Health Information (PHI). This Notice was presented in the form of a Notice of Production from Non Party which included sufficient information about the litigation or proceeding, including the case style, case number and the records or information requested, to permit the patient to raise an objection to the production of the requested records or information. This subpoena was issued only after: (a) the patient waived any objections; (b) the patient made no objection with the requisite time to do so; or (c) any objections were resolved. Further Assurance is given that this information is for the purpose of this captioned litigation ONLY and will be destroyed. Dated on this day of September, 2021. GARRETT M. BROWN, ESQ. For the Court 4s/ Garrett M. Brown, Esq. Garrett M. Brown, Esquire FBN: 01015765 Rywant, Alvarez, Jones, Russo & Guyton, P.A. 302 Knights Run Avenue, Suite 1000 Tampa FL 33602 Tel: (813) 229-7007 Fax: (813) 223-6544 Attorneys for Defendant *PLEASE INCLUDE A COPY OF YOUR W-9 WITH ANY INVOICES and please Direct all invoices and copy charges to mgerhardt@rywantalvarez.com* If you are a person with a disability who needs any accommodation in order to participate in this proceeding, you are entitled, at no cost to you, to the provision of certain assistance. Please contact Garrett Brown, Esquire, 302 Knights Run Avenue, Suite 1000, Tampa, FL 33602, 813-229-7007 at least 7 days before your scheduled appearance, or immediately upon receiving this notification if the time before the scheduled appearance is less than 7 days; if you are hearing or voice impaired, call 711. (00298075-1 IN THE CIRCUIT COURT OF THE FIFTH JUDICIAL CIRCUIT IN AND FOR MARION COUNTY, FLORIDA CIVIL DIVISION VIRGINIA PHILLIPS, Plaintiff, CASE NO: 2019-CA-0142 Vv. DONALD LAMBERT AND, DJ’S ROOT SCOOTER, INC., a Florida Corporation, Defendants. / SUBPOENA DUCES TECUM WITHOUT DEPOSITION THE STATE OF FLORIDA: TO: CMS, Medicare Atlanta Regional Office Attn: Records Custodian Atlanta Federal Center, 4"" Floor 61 Forsyth Street, SW, Ste. 4T20 Atlanta, GA 30303-8909 YOU ARE COMMANDED to appear at the offices of Rywant, Alvarez, Jones, Russo & Guyton, P.A., within 15 days of receipt of this subpoena and to have with you at that time and place the following: YOUR ENTIRE FILE, INCLUDING, BUT NOT LIMITED TO, A COMPLETE MEDICAL PAY-OUT LOG, THE PROVIDER PAID, TO WHAT DATE OF SERVICE THE CHARGE PERTAINS WAS PAID, THE AMOUNT PAID; ALL HEALTH CLAIM FORMS, BILLS OR INVOICES SUBMITTED BY THE INSURED OR ANY PHYSICIAN OR EMPLOYER; ANY EXPLANATIONS OF BENEFITS, ALL EXPLANATIONS OF REVIEW, ALL DENIALS AND EXPLANATION FOR DENIALS, FOR THE PERIOD OF TIME, ALL TIME TO PRESENT, AS THEY PERTAIN TO PATIENT/PLAINTIFF: VIRGINIA PHILLIPS, AKA VIRGINIA POPYK, DOB 07/29/1961, SSN XXX-XX-8076. These items will be inspected and may be copied at that time. You will not be required to surrender the original items. You may comply with this subpoena by providing legible copies of the items to be produced to the attorney whose name appears on this subpoena on or before the scheduled date of production. You may condition the preparation of the copies upon the payment in advance of the reasonable cost of preparation. To the extent the total costs for the requested records and/or other compensable costs to respond to this Subpoena will exceed the sum of $100.00, please provide a written estimate of the costs to the undersigned attorney before providing the records and before you incur any costs you contend are compensable. You may mail or deliver the copies to the attorney(s) whose name appears on this subpoena and thereby eliminate your appearance at the time and place specified above. You have the right to object to the production pursuant to this subpoena at any time before production by giving written notice to the attorney whose name appears on this subpoena. This will not be a deposition. No testimony will be taken. (00298075-1 Tf you fail to: (1) appear as specified; or (2) furnish the records instead of appearing as provided above; or (3) object to this subpoena, you may be in contempt of Court. You are subpoenaed by the attorneys whose names appear on this subpoena and unless excused from this subpoena by the attorneys or the Court, you shall respond to this subpoena as directed. HIPAA - Certificate of Non-Objection, Certificate of Compliance & Certificate of Assurance The undersigned attorney hereby certifies that a good faith attempt has been made to provide written notice to the above-named patient (and/or that patient’s attorney) of the intent to obtain the patient’s medical record and/or other Protected Health Information (PHI). This Notice was presented in the form of a Notice of Production from Non Party which included sufficient information about the litigation or proceeding, including the case style, case number and the records or information requested, to permit the patient to raise an objection to the production of the requested records or information. This subpoena was issued only after: (a) the patient waived any objections; (b) the patient made no objection with the requisite time to do so; or (c) any objections were resolved. Further Assurance is given that this information is for the purpose of this captioned litigation ONLY and will be destroyed. Dated on this day of September, 2021. GARRETT M. BROWN, ESQ. For the Court /s/ Garrett M. Brown, Esq. Garrett M. Brown, Esquire FBN: 01015765 Rywant, Alvarez, Jones, Russo & Guyton, P.A. 302 Knights Run Avenue, Suite 1000 Tampa FL 33602 Tel: (813) 229-7007 Fax: (813) 223-6544 Attorneys for Defendant *PLEASE INCLUDE A COPY OF YOUR W-9 WITH ANY INVOICES and please Direct all invoices and copy charges to mgerhardt@rywantalvarez.com* If you are a person with a disability who needs any accommodation in order to participate in this proceeding, you are entitled, at no cost to you, to the provision of certain assistance. Please contact Garrett Brown, Esquire, 302 Knights Run Avenue, Suite 1000, Tampa, FL 33602, 813-229-7007 at least 7 days before your scheduled appearance, or immediately upon receiving this notification if the time before the scheduled appearance is less than 7 days; if you are hearing or voice impaired, call 711. 10298075-1 IN THE CIRCUIT COURT OF THE FIFTH JUDICIAL CIRCUIT IN AND FOR MARION COUNTY, FLORIDA CIVIL DIVISION VIRGINIA PHILLIPS, Plaintiff, CASE NO: 2019-CA-0142 Vv. DONALD LAMBERT AND, DJ’S ROOT SCOOTER, INC., a Florida Corporation, Defendants. / SUBPOENA DUCES TECUM WITHOUT DEPOSITION THE STATE OF FLORIDA: TO: Care Plus Health Plans, Inc. (CPHP) Attn: Records Custodian PO Box 14697 Lexington, KY 40512 YOU ARE COMMANDED to appear at the offices of Rywant, Alvarez, Jones, Russo & Guyton, P.A., within 15 days of receipt of this subpoena and to have with you at that time and place the following: YOUR ENTIRE FILE, INCLUDING, BUT NOT LIMITED TO, A COMPLETE MEDICAL PAY-OUT LOG, THE PROVIDER PAID, TO WHAT DATE OF SERVICE THE CHARGE PERTAINS WAS PAID, THE AMOUNT PAID; ALL HEALTH CLAIM FORMS, THE NATURE OF THE SERVICES AND TREATMENT RELATED TO EACH PAYMNET, BILLS OR INVOICES SUBMITTED BY THE INSURED OR ANY PHYSICIAN OR EMPLOYER; ANY EXPLANATIONS OF BENEFITS, ALL EXPLANATIONS OF REVIEW, ALL DENIALS AND EXPLANATION FOR DENIALS, FOR THE PERIOD OF TIME, ALL TIME TO PRESENT, AS THEY PERTAIN TO PATIENT/PLAINTIFF: VIRGINIA PHILLIPS, AKA VIRGINIA POPYK, DOB 07/29/1961, SSN XXX-XX-8076. These items will be inspected and may be copied at that time. You will not be required to surrender the original items. You may comply with this subpoena by providing legible copies of the items to be produced to the attorney whose name appears on this subpoena on or before the scheduled date of production. You may condition the preparation of the copies upon the payment in advance of the reasonable cost of preparation. To the extent the total costs for the requested records and/or other compensable costs to respond to this Subpoena will exceed the sum of $100.00, please provide a written estimate of the costs to the undersigned attorney before providing the records and before you incur any costs you contend are compensable. You may mail or deliver the copies to the attorney(s) whose name appears on this subpoena and thereby eliminate your appearance at the time and place specified above. You have the right to object to the production pursuant to this subpoena at any time before production by giving written notice to the attorney whose name appears on this subpoena. This will not be a deposition. No testimony will be taken. (00298075-1 Tf you fail to: (1) appear as specified; or (2) furnish the records instead of appearing as provided above; or (3) object to this subpoena, you may be in contempt of Court. You are subpoenaed by the attorneys whose names appear on this subpoena and unless excused from this subpoena by the attorneys or the Court, you shall respond to this subpoena as directed. HIPAA - Certificate of Non-Objection, Certificate of Compliance & Certificate of Assurance The undersigned attorney hereby certifies that a good faith attempt has been made to provide written notice to the above-named patient (and/or that patient’s attorney) of the intent to obtain the patient’s medical record and/or other Protected Health Information (PHI). This Notice was presented in the form of a Notice of Production from Non Party which included sufficient information about the litigation or proceeding, including the case style, case number and the records or information requested, to permit the patient to raise an objection to the production of the requested records or information. This subpoena was issued only after: (a) the patient waived any objections; (b) the patient made no objection with the requisite time to do so; or (c) any objections were resolved. Further Assurance is given that this information is for the purpose of this captioned litigation ONLY and will be destroyed. Dated on this day of September, 2021. GARRETT M. BROWN, ESQ. For the Court /s/ Garrett M. Brown, Esq. Garrett M. Brown, Esquire FBN: 01015765 Rywant, Alvarez, Jones, Russo & Guyton, P.A. 302 Knights Run Avenue, Suite 1000 Tampa FL 33602 Tel: (813) 229-7007 Fax: (813) 223-6544 Attorneys for Defendant *PLEASE INCLUDE A COPY OF YOUR W-9 WITH ANY INVOICES and please Direct all invoices and copy charges to mgerhardt@rywantalvarez.com* If you are a person with a disability who needs any accommodation in order to participate in this proceeding, you are entitled, at no cost to you, to the provision of certain assistance. Please contact Garrett Brown, Esquire, 302 Knights Run Avenue, Suite 1000, Tampa, FL 33602, 813-229-7007 at least 7 days before your scheduled appearance, or immediately upon receiving this notification if the time before the scheduled appearance is less than 7 days; if you are hearing or voice impaired, call 711. 10298075-1 IN THE CIRCUIT COURT OF THE FIFTH JUDICIAL CIRCUIT IN AND FOR MARION COUNTY, FLORIDA CIVIL DIVISION VIRGINIA PHILLIPS, Plaintiff, CASE NO: 2019-CA-0142 Vv. DONALD LAMBERT AND, DJ’S ROOT SCOOTER, INC., a Florida Corporation, Defendants. / SUBPOENA DUCES TECUM WITHOUT DEPOSITION THE STATE OF FLORIDA: TO: Care Plus Health Plans, Inc. (CPHP) Attn: Records Custodian c/o Corporation Service Company, Registered Agent 1201 Hayes Street Tallahassee, FL 32301-2525 YOU ARE COMMANDED to appear at the offices of Rywant, Alvarez, Jones, Russo & Guyton, P.A., within 15 days of receipt of this subpoena and to have with you at that time and place the following: YOUR ENTIRE FILE, INCLUDING, BUT NOT LIMITED TO, A COMPLETE MEDICAL PAY-OUT LOG, THE PROVIDER PAID, TO WHAT DATE OF SERVICE THE CHARGE PERTAINS WAS PAID, THE AMOUNT PAID; ALL HEALTH CLAIM FORMS, THE NATURE OF THE SERVICES AND TREATMENT RELATED TO EACH PAYMNET, BILLS OR INVOICES SUBMITTED BY THE INSURED OR ANY PHYSICIAN OR EMPLOYER; ANY EXPLANATIONS OF BENEFITS, ALL EXPLANATIONS OF REVIEW, ALL DENIALS AND EXPLANATION FOR DENIALS, FOR THE PERIOD OF TIME, ALL TIME TO_ PRESENT, AS THEY PERTAIN TO PATIENT/PLAINTIFF: VIRGINIA PHILLIPS, AKA VIRGINIA POPYK, DOB 07/29/1961, SSN XXX-XX-8076. These items will be inspected and may be copied at that time. You will not be required to surrender the original items. You may comply with this subpoena by providing legible copies of the items to be produced to the attorney whose name appears on this subpoena on or before the scheduled date of production. You may condition the preparation of the copies upon the payment in advance of the reasonable cost of preparation. To the extent the total costs for the requested records and/or other compensable costs to respond to this Subpoena will exceed the sum of $100.00, please provide a written estimate of the costs to the undersigned attorney before providing the records and before you incur any costs you contend are compensable. You may mail or deliver the copies to the attorney(s) whose name appears on this subpoena and thereby eliminate your appearance at the time and place specified above. You have the right to object to the production pursuant to this subpoena at any time (00298075-1 before production by giving written notice to the attorney whose name appears on this subpoena. This will not be a deposition. No testimony will be taken. Ifyou fail to: (1) appear as specified; or (2) furnish the records instead of appearing as provided above; or (3) object to this subpoena, you may be in contempt of Court. You are subpoenaed by the atto